Date:10/26/2009

upply of good-quality medicines, which often are not available, with shortages giving health facilities no choice but to use medicines that may not have undergone rigorous quality control; combating the availability of counterfeit and substandard medicines through testing programs and other means; and conducting global advocacy to raise awareness of the dangers of substandard and counterfeit drugs.

The PQM Program builds on the work of USAID and USP over the past decade through a predecessor program, the Drug Quality and Information (DQI) Program. Like DQI, the PQM Program will be managed by Patrick Lukulay, Ph.D., partnering with USAID's Office of Health, Infectious Diseases, and Nutrition, under the direction of Anthony Boni. Highlights of the DQI Program's work include:

Establishing the first large-scale continuous monitoring program for medicines quality in Africa, Asia and Latin America. The DQI Program developed robust drug quality surveillance programs in 19 nations, leading to recalls of substandard and counterfeit medicines and closures of illicit pharmacies operating in the countries. This had never been done before in any developing region other than on an ad hoc basis. Monitoring is conducted largely through 107 sentinel sites that were established to perform quality testing. In July 2009, one such sentinel site in Ghana detected a counterfeit antimalarial drug that was being sold to patients as Novartis' Coartem®. The product, which lacked any active ingredient, was promptly seized from pharmacies in Ghana by the country's Foods and Drug Board, helping prevent further harm to patients who may be using the drug for treatment of their '/>"/>

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